Lazy River Therapy Services, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

LAZY RIVER THERAPY SERVICES, LLC

Practice address

3 Road 3660
Aztec, NM 87410-9020

Phone

(505) 402-9561

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Jean Calkins, MS/CCC

Title

Speech Language Pathologist

Phone

(505) 402-9561

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1417430406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROAD 3660",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874109020",
            "telephone_number": "505-402-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ROAD 3660",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874109020",
            "telephone_number": "505-402-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZY RIVER THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-402-9561",
        "authorized_official_credential": "MS/CCC"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Thorsten Kirste, O.D.
• Shyla Kowach
• Diane Kresl, RN
• Annikah Mae Lamery, RN
• Rebecca Grace Larivee, LISW
• Phyllis P. Lee, M.S. MFT
• Scott Lingo, PHARMD
• Sheena Little
• Tausha Renee Ludington I
• Ashlee Ludwig

• Hearing and Speech Clinic/Center in Aztec, NM
• Providers in Aztec, NM by specialty
• Hearing and Speech Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.